Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.80 / $1,639.00 / $4,396.00	Facility		$214.80	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $126.75 / $227.87	Professional		$74.08	$126.75	$227.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $142.97 / $198.27	Professional		$87.18	$142.97	$198.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $125.77 / $243.44	Professional		$71.34	$125.77	$243.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $122.76 / $257.88	Professional		$63.14	$122.76	$257.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $219.60 / $219.60	Facility		$219.60	$219.60	$219.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $70.30 / $136.28	Professional		$1.20	$70.30	$136.28
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $168.75 / $272.00	Professional		$136.00	$168.75	$272.00